Inspection on 20/09/05 for Heathcotes Care (Hucknall and Watnall)

This inspection was carried out on 20th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Heathcotes Care (Hucknall and... 20/11/08

Heathcotes Care (Hucknall and... 10/08/06

Heathcotes Care (Hucknall and... 21/02/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Heathcotes Care 220 Watnall Road Hucknall Nottingham Nottinghamshire NG15 6EU Lead Inspector Dee Shelvey Unannounced Inspection 20th September 2005 10:45 Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Heathcotes Care Address 220 Watnall Road Hucknall Nottingham Nottinghamshire NG15 6EU 01246 556453 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Heathcotes Care Ltd Keeley Ward Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users shall be within category LD A further bathing facility must be provided within 2 months (56 days) of registration. Date of last inspection Brief Description of the Service: Heathcote is a large detached house situated in an established residential area of Hucknall on the outskirts of Nottingham. The home was within a few minutes of local amenities including a garage, shop and public house. The building had been converted inside to provide accommodation for 6 people with a learning disability in single rooms with ensuite lavatories and washbasins. The home also had shared bathing, dining, laundry and lounge facilities. There was a large garden accessible to residents. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the first to take place following registration of the home. Heathcote had been open for 4 weeks and had 1 service user. The inspection took place over 4 hours and consisted of reading policy documents and records, conversations with the service user and her parents, discussions with the manager and a tour of the building. What the service does well: What has improved since the last inspection? Not Applicable Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The needs of the service user had been well assessed and covered all aspects of her life including relationships and spiritual needs. EVIDENCE: The assessment examined was thorough and included all aspects of the service user’s life. There was evidence that both she and her parents had been involved in the process and agreed with the conclusions. The documents format was excellent it was easy to identify the needs of the service user and to see where a risk assessment was indicated. This had enabled the drawing up of a support plan to deliver assistance where necessary and methods of helping the service user to increase daily living skills. This will be of benefit to the service user as she will become more independent and more able to control her own life. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9. The service user was aware of the contents of her support plan and showed an understanding of how she was being assisted to reach her goals. She was being encouraged to take responsibility for her own medication and there was a plan in place to ensure that this was done in safety. The service user’s self esteem will increase along with her levels of independence. EVIDENCE: The support plans did not stop at identifying need but went on to include methods of assisting the service user to overcome problems. When this was done all necessary risk assessments had been carried out and methods of increasing the service user’s understanding had been put into action. A good example of this was that the service user was taking some responsibility for administering her own medication under supervision. A plan had been put together in words and pictures to help her understand what the medicine was for and any possible side effects. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 and 17 The service user has regular contact with her family and her parents appeared to be very much at home when they visited. The staff were making sure, by their attitudes, that the service user will be able to maintain her close relationship with her parents. The home encourages the service user to eat healthily but as the choices of what to eat and when are left to the service user this can be limited. She was however being taught the most appropriate cooking methods e.g. grilling instead of frying. The service user is therefore being helped to maintain her weight at a level that will not be detrimental to her general health. EVIDENCE: The service user’s parents expressed complete satisfaction with the way they are treated by the home’s staff. Maintaining the close family relationships was included in the support plan and observations of interaction between staff and relatives during inspection provided evidence that they were being very supportive. The record of food served showed that the service user had sufficient variety in her diet. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20 The service user’s physical and emotional health needs are met and monitored to ensure a good standard of general health enabling her to live a full and satisfying life style. The home has policies and procedures that will ensure the safe handling of medications whilst enabling people to retain control over their own medicines when assessed as capable. EVIDENCE: The policies and procedures for the safe handling of medications were examined and if followed will provide protection for service users but whenever possible leave them in control of their own medication. A risk assessment and resultant support plan for the current service user was seen and if successful it will enable her to gradually assume more responsibility for her medicines. The personal case file seen contained evidence of monitoring the service user’s health and of referrals to health specialists as appropriate. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The complaints procedure would be easy to understand and met the statutory requirements. Service users will know who to complain to and how their concerns will be dealt with. Staff will have an understanding of the forms that abuse can take and the homes policy of zero tolerance. The policies and procedures, if followed, will provide service users with protection against abuse. Knowing that complaints will be listened to and treated seriously gives the service user a sense of self worth and an ownership of the home they live in. EVIDENCE: No complaints had been received by the home but the manager demonstrated a clear understanding of the need to ensure that service users felt able to speak out and of the necessity to provide protection for potentially vulnerable people. The complaints procedure is provided in both written and pictorial forms. The procedures call for the manager to make full records of complaints and the outcome of subsequent investigations. She also audits all records monthly to check for any possible signs of abuse. Part of the staff induction training is the recognition of signs of abuse and the different forms it make take. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,29 and 30. The home offers a very good standard of accommodation and it had been well furnished and decorated. The current service user did not require any adaptations or equipment to maximise independence. The home was clean, tidy and free of any observable health and safety hazard. It offers a safe and comfortable environment for service users. Another bathing facility is required and the laundry area, sited in what was the garage, needs some work done to render the floor safe and impervious. EVIDENCE: The tour of the building provided evidence that the home was clean and tidy. As a newly registered building it meets with the physical requirements except for the provision of a second shared bathing facility. This was supposed to be completed within 2 months of registration but the manager said they had been held up whilst waiting for a visit from the building inspector. The home does not intend to offer places to the physically disabled and does not therefore need special adaptations. An emergency bell system had been fitted. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33 and 34 The staff group at the home have previous experience of care work and would offer good standards of care based on individual need. The staff would receive support from senior team leaders and be positively encouraged to develop their competence through further training. The recruitment and selection policy if followed will offer the service users protection from abuse of all kinds. It had not been strictly adhered to in the case of staff known to the manager. EVIDENCE: The employment records of 3 members of staff were examined and each had considerable experience of working with people with a learning disability. The staff team had been in place since January and the time had been used to provide appropriate training. 3 of the current team hold an NVQ level 2 or above and the others have been enrolled on courses. The employment policy ensures that any new employee will undertake a 3 day induction course prior to commencing work and one of the conditions of employment will be to enrol on an NVQ course. Observations on the working practices made during the inspection provided evidence that the service user was treated with respect and was being encouraged to make informed decisions. The service user and her parents made favourable comments about the staff. The recruitment policy had not been strictly followed when recruiting all staff. The manager had prior knowledge of some people and had provided their references. This resulted in not obtaining a reference from the current or last employer on behalf of some members of staff. This could mean that the manager would be unaware of vital information. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 41 and 42 The homes record keeping was of a good standard and a set of satisfactory policies and procedures were available to staff. Following policies and making appropriate records enables the provision and monitoring of effective care to the individual rather than doing the same for all service users. The health, safety and welfare of the current service user had been considered and where necessary actions taken to safeguard her rights and improve her general standard of health, resulting in a good quality of life for her. EVIDENCE: The policies seen were of a good standard and the formats for recording documents were excellent. The standard of completed records was good and where necessary they were in pictorial form to help service users’ understand them. All fire safety equipment was in place with appropriate checks being made. Other records to promote a safe living environment were well kept and up to date. The manager makes a weekly maintenance report for the registered owners. Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 2 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Heathcotes Care Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X 3 3 X DS0000062904.V251570.R01.S.doc Version 5.0 Page 17 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard 24 34 Regulation 23(2)(b) Requirement Timescale for action 30/11/05 20/09/05 3 27.4 The laundry floor must be levelled and provided with an impervious covering. 19(1)(b)(i)(c) 2 satisfactory written references, one of which should be from the current or last employer, must be obtained for all members of staff prior to them commencing work. 23(2)(j) A further bathing facility must be provided. This was a condition of registration that has not been complied with within the timescale. 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Heathcotes Care DS0000062904.V251570.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!